Canadian Institutes of Health Research

Institute of Population and Public Health

Nancy Edwards, RN, PhD, FCAHS

Scientific Director

IPPH website: http://www.cihr-irsc.gc.ca/e/13777.html

Preconditions

to support

PHSSR

Discovery research

-Theories

-Methods

-Indicators

Data infrastructure

Academic-practice-

Policy linkages

Hypothesized

Conditions for

Optimal PH system

Performance

-Governance, financing

-Surveillance systems

-Integration of practice-

Based & evidence-

Based approaches

-PH Service delivery Models

-Partnerships & public

Engagement

-PH workforce

-Interface with health And other sectors

-Values and ethics

Public health

System

performance

Impact

Pop health

improvements

Reduce inequities

System innovation

Effective intersectoral

policies

CIHR Funding per Research Themes

1999-00 to 2008-09 *

* Excludes Canada Research Chairs, Centres of Excellence for Commercialization and Research,

Networks of Centres of Excellence, and portion of funding where themes are not specified (EIS)

0

100

200

300

400

500

1999-00 2000-01 2001-02 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09

Biomedical

Health

Systems/Services

S/C/E/Pop.

Health

Clinical

Exp

en

dit

ure

s in

$ M

illio

ns

On “Falling Between the Cracks”

Strategic Research Priorities

• Pathways to health equity

• Population health interventions

• Implementation systems for population health interventions in public health and other sectors

• Theoretical and methodological innovations

Implementation Systems

from IPPH Strategic plan• Goal: To examine how implementation systems for

population health interventions may strengthen or weaken the impact of population health interventions on health and health equity

• Description: “…implementation systems for population health interventions within and outside the health sector, with an emphasis on intersectoral implementation and scale-up. Factors influencing such systems include interorganizational, intersectoral, and interjurisdictional governance structures; leadership support; system absorption capacities; and information-exchange mechanisms...”

Recent and Upcoming

Competitions

• Health systems, ethics and knowledge translation research on the implications of H1N1 (closed)

• Programmatic Grants in health and health equity (closed)

• Rapid response RFA – natural experiments in population health interventions (ongoing)

• Global alliance on chronic disease –hypertension RFA (upcoming)

Health systems, ethics and knowledge

translation research on the implications

of H1N1

• To support the prompt initiation of research

focused on public health and health care

system interventions for H1N1 and to study the

differential effects of these responses on

vulnerable populations

• Invitational knowledge synthesis workshop

planned for fall 2011

Programmatic Grants in health and

health equity • >80 letters of intent

• 50 invited to submit full application (development funds provided)

• Peer review completed by international panel, April 2011

• Encourage resubmission to open grants competition, fall 2011

• Programmatic research is eligible in open grants competition

• Pillar 4 application pressure in open grants competition is essential

Population Health Intervention Research

to Promote Health and Health Equity

– Prompt initiation of intervention research on rapidly unfolding programs, policies and resource distribution approaches

– Research projects that are “out of the control of the researcher” (researcher not responsible for designing or implementing the intervention)

– $100,000 per year for up to 2 years.

Grant

Competition

Nature of

deadlines

# of Full

Applications# Funded

Total

dollars

200612 Rolling (no set

deadline) 20 16 ~$1.5M

200804

200806

200809

200812

4 fixed deadlines 17 8 ~$1.7M

200905 1 15 6 ~$1.4M

201007

2010112 fixed deadlines 32 18 ~$3.3M

11

Global Alliance for Chronic Disease

First Joint Research Activity – Hypertension

• Implementation research in low and middle

income countries and in Aboriginal

communities (Canada and Australia)

• Objective: improve effective approaches to the

prevention and control of hypertension

• Foster joint learning across funded teams

• http://www.cihr.ca/e/43520.html

Peer Review – strategic funds

• Application must be relevant to the RFA

• Relevance assessed using regular summary and relevance form summary

• Only those applications assessed as relevant go to peer review

• Regular CIHR evaluation criteria always apply, additional criteria (specified in RFA) may also apply

• Key words may be used to help identify appropriate reviewers

Pre-announcement – IPPH Institute

Community Support (ICS) Program

• Travel awards

• Visiting scholar awards

• Visit the IPPH website in spring/summer

2011 for information on how to apply:

http://www.cihr-irsc.gc.ca/e/36067.html

Peer Review – Open Operating

Grant Program (OOGP)

• Approximately 70% of CIHR research

funds are in the OOGP

• All health–related research is eligible

• Application pressure drives number and

composition of committees

• Open grant reform under discussion

• College of Reviewers proposed

Population Health Ethics

• Annotated Bibliography http://www.cihr-

irsc.gc.ca/e/27155.html#4

– Summary of selected foundational works

relevant to population health ethics

• Journal Club 2010

• Dialogue and Debate Series 2010-2011

• Population health ethics casebook

Pre-announcement – Population and Public

Health Ethics Casebook

• In partnership with PHAC, NCC-HPP, CDC

• Casebook objectives1. Increase awareness and understanding of PPH ethics

2. Highlight cases from across population and public health research, policy, and practice that feature ethical issues and dilemmas

3. Create a tool to support instruction, debate, and dialogue

• Visit the IPPH News and Announcements page for information on how to apply: http://www.cihr-irsc.gc.ca/e/38101.html